NPI 1063621498

Michelle Lea Fulk

Practitioner Developmental Therapist Beloit, WI

Practice location

Address: 2530 Shady Ln, Beloit, WI 53511-7029
Phone: (608) 361-9881

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

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Registry record

NPI: 1063621498
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.